Bolgül Behiye Sezgin, Ağaçkiran Engin, Celenk Sema, Ayna Buket
Department of Pedodontics, Faculty of Dentistry, Dicle University, Diyarbakir-Turkey.
J Clin Pediatr Dent. 2009 Winter;34(2):107-11.
Oral injuries cause aesthetic, psychological, social, and therapeutic problems and also affect a large number of people, causing irreparable dental loss not only at the accident time but also during post-treatment. Missing permanent teeth by trauma in children is a particular challenge, especially in the anterior region of the maxilla. In the past few decades, tooth transplantation has been successfully researched for the treatment of anterior tooth loss in young individuals.
The present case describes transplantation of an excessive intrusive maxillary left lateral incisor into the socket of avulsed maxillary left central incisor
The lateral incisor tooth was extracted and placed into the socket of avulsed tooth. Splinting was maintained for 2 weeks. After the root canal treatment, the crown of the lateral incisor tooth was reshaped with composite resin in central tooth form and performed an interim prosthesis both preventing movement of the canine tooth into the space of the transplanted lateral incisor tooth and providing aesthetic.
The treatment provided is considered to be an interim solution for space maintenance, with time the child patient may reach an age that allows alternative, more definitive treatment as implant.
口腔损伤会导致美观、心理、社交和治疗方面的问题，并且影响大量人群，不仅在事故发生时会导致不可修复的牙齿缺失，在治疗后也会如此。儿童因外伤导致恒牙缺失是一项特殊挑战，尤其是在上颌前部区域。在过去几十年里，牙齿移植已成功用于研究治疗年轻个体的前牙缺失。
本病例描述了将一颗过度嵌入的上颌左侧侧切牙移植到上颌左侧中切牙的脱位牙槽窝中。
拔除侧切牙并将其放入脱位牙的牙槽窝中。夹板固定维持2周。根管治疗后，用复合树脂将侧切牙的牙冠重塑为中切牙形态，并制作临时修复体，既防止尖牙向移植侧切牙的间隙移动，又提供美观效果。
所提供的治疗被认为是一种维持间隙的临时解决方案，随着时间推移，儿童患者可能会达到适合采用替代的、更确定性治疗方法（如种植牙）的年龄。
